Ashley Nicole Moore, FNP-C is a medicare enrolled "Family Medicine" physician in Mansfiel, Texas. Her current practice location is
2606 Wallingford Dr, Mansfiel, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 733-7085.
Ashley Nicole Moore is licensed to practice in Texas (license number 1129661) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003698937.
Physician's Profile
| Full Name | Ashley Nicole Moore |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 2606 Wallingford Dr, Mansfiel, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1003698937
- Provider Enumeration Date: 10/16/2023
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123464179
- Enrollment ID: I20240312003818
Medical Identifiers
Medical identifiers for Ashley Nicole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003698937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1129661 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashley Nicole Moore allows following entities to bill medicare on her behalf.
| Entity Name | Texas Physicians Specialized Medicine Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1619373453
PECOS PAC ID: 3779807250
Enrollment ID: O20150112001523 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Nicole Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ashley Nicole Moore, FNP-C
2606 Wallingford Dr,
Mansfiel, TX 76084-1156
Ph: (817) 733-7085 | Ashley Nicole Moore, FNP-C
2606 Wallingford Dr,
Mansfiel, TX 76084-1156
Ph: (817) 733-7085 |
Reviews and Comments